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HomeMy WebLinkAbout0022 KEEL WAY - Health I o D c, , ; TOWN OF BARNSTABLE LOCATION ; s, 9 t=r= w 4 1/1 SEWAGE# 4 0! a VILLAGE d Y ASSESSOR'S MAP&PARCEL k9 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY ,� SL'. 0 LEACHING FACILITY: (type)sj; — L (size) NO.OF BEDROOMS OWNER, 0 13 A PERMIT DATE: :. U 'eT COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet 4 Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet ofdeaching facility) Feet. Edge of Wetland and Leaching Facility(If any wetlands exist within l 300 feet of leaching facility). Feet FURNISHED BY .. �� � ..�; �' . �4 y. _ - r .. _} y,: _ - ` - - �'' _. '.(� . . � j � �` 6� r �` � � r ` f y � �,:� - y TOWN OF BARNSTABLE ' o LOCATION SEWAGE # t, VILLAGE ASSESSOR'S MAP LOT DtI INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITYAtype) (size) NO. OF BEDROOMS PRIVATE WELL O PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE •COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No r C/ d O . r � � Fee /0 ! THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: V PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2pplicatlon for Misposal Opstem Construction permit Application for a Permit to Construct( ) Repair W Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components o ti Addres�o�z L,,ot No er's,N e,Addres d Tel.N . ssessor's Map/Parcel - (� s oZ a � �1(11 S Installer' Name,Address,and Tel.No!' g�77$_'j'7?(.p Designer's Name,Address,and Tel.No. 3 ia 4-- �M � CCUbi nSUY� SSL a��i ® 1� I Cl CC-A Type of Building: �® Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) "— 7 7 gpd Design flow provided -3 3 0- 0 gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs orAlterations(Answer when applicable)�:rn5y&kL a— (1ez>—7-j`S-Z5 `L a T co lec h -1- E i E -3 ao_-�3 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. l.� �""J Signed l 1' - Datele- 13-- p Application Approved by _ Datej&- 13`0 Application Disapproved by Date `d for the following reasons q TO Permit No. Date Issued '""".4+^^°�+,�''^".y..ri+,.ti`°'".s"7ri�S.r��...-...-.,as.�-..-r.-.-.. :fah=_+�+Y�edIV+W+rr.�%tire.�+�*4.-::.;w:..ac9y...-`,i.:�niie' 1�r'?e^^�Ff:-:C°..�sk4[ tR"�yv3',o^i"^^:..:mot;,.,,,. :i�,'Q+'v".:1=waLR.w .i_.ti _,•-•�.: No. i Fee /V l0 #THE COMMONWEALTH'OF MASSACHUSETTS ' . Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS jYes 2pticAtion for MispoBAY *pBtetlt Construction 3permit Application for a Permit to Construct( ) Repair V) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components b o! � oli n Address o �Lot No. t, Owner's,Name Addres and Tel. o`. '1 I�P�1lJ Assessor's Map/Parcel a k �� 5 Installer Name,Address,and Tel No '1� 7S a `7�(0 Designer's Name,Address,and Tel.No.Wk-3 40 N 4 OTC 08 9 �(\�v 1 l e_^" 1 Type of Building: ' Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder(�)� Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures .Design Flow(min.required) ' 3 6 gpd Design flow provided 3 3 0• 0 ..gpd Plan Date Number of sheets t Revision Date Title Size of Septic Tank Type'of S.A.S. Description of Soil• j Nature of Repairs or Alterations(Answer when applicable)(15•akt �IaANS o Date last inspected: Agreement: The,uddeisigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of t � Compliance has been issued by this Board of Health. Signed t ` Dateld)— V Application Approved by - Datj&- i 3'o Application Disapproved by Date for the following reasons 13, Permit No. Pool—' 530 Date Issued �®� o 1 -- ------- ---- - - - -' -} -'--- --------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS QCertificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(V) Upgraded( ) Abandoned( )b`y �M 1?'b_0 1 rN5 �. atC9a (Axw , VA4_40 4 t 5 has been constructed in accordance 00 with the provisions of Title 5 and the for Disposal System Construction Permit No.a2001—310 dated'/V-(3'0 / Installer Designer _ #bedrooms Approved desi flow gpd The issuance of thi permit shall not be construed as a guarantee that-the system will function as designed. Date ) Inspector ..,..._.-----No. �yv(^ j�jV -----�----------------------------------�-------=-------------^----- ------------Fee -jo-== ®. THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal bpstem (Construction Vermit Permission is hereby granted to Construct( ) Repair ) Upgrade( ) Abandon( ) System located at a � �� `�L�',I 0-4\cll�j J v . and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. 5 (o Provided:Construction must be completed within three years of the date of this permit.�^ 1 Date Approved by TRANS. NO.: CITY/TOWN: iA5+-QWe C W gkini S APPLICANT: Qgl--pr ADDRESS: Keel WC, y DESIGN FLOW: �p gpd REVIEWED BY: DATE: N/A OK NO .0.,.. � r''', Legal boundaries denoted [310 CMR 15.220(4)(a)] Street, Lot,tax parcel number and lot number noted on plan [310 CMR 15.220(4)(u)] Locus Provided [310 CMR 15.2204(t)] Plan proper scale? (1"=40' for plot plans, 1"=20' or fewer for components) [310 CMR 15.220(4)] Easements shown [310 CMR 15.220(4)(b)] System located totally on lot served [310 CMR 15.405(1)(a) for upgrades]- if not,-a variance is re aired [310 CMR 15.412(4)] ✓ Location of impervious surfaces (driveways,parking areas etc.) [310 CMR 15.220(4)(d)] ✓ Location all buildings existing and proposed 310 CMR 15.220(4)(c)] Location and dimensions of system components and reserve areas. [310 CMR 15.220(4)(e)] ✓ System Calculations [310 CMR 15.220(4)(0] daily flow septic tank capacity(required andprovided) soil absorption system (required andprovided) whether system designed for garbage grinder North arrow [310 CMR 15.220(4)(g)] Existing and ro osed contours [310 CMR 15.220(4)(g)] Location and log of deep observation holes (existing grade el. on each test) [310 CMR 15.220(4)(h)] I ✓ Names of soil evaluator and BOH representative [310 CMR 15.220(4)(h) and(0] Location and date of percolation tests (performed at proper / elevation? [310 CMR 15.220(4)(i)] V Percolation test results match loading rate? 310 CMR 15.242 Certification statement by Soil Evaluator 310 CMR 15.220(4)0)] Observed and Adjusted groundwater(method for adjustment given or indicated) [310 CMR 15.103(3) and 310 CMR 15.220(4)(n)] Address `LZ 04 MAY Sheet 1 of 7 N/A OK NO Location of every water supply, public and private, [310 CMR 15.220(4)(k)] within 400 feet of the proposed system location in the case of surface water supplies and gravel packed public water supply within 250 feet of the proposed system location in the case within 150 feet of the proposed system location in the case / of private water supply wells V Location of all surface waters and wetlands located up to 100 ft. beyond setbacks listed in 310 CMR 15.211 and any catch basins located within 50 ft. 310 CMR 15.220(4)(1)] Water lines and other subsurface utilities located [310 CMR 15.220(4)(m)] (if water line cross see 310 CMR 15.211(1)[1]) Profile of system showing invert elevations of all system / components and the bottom of the SAS [310 CMR15.220(4)(o)] t/ Stamp of designer [310 CMR 15.220(1) and 310 CMR 15.220(2)] Stamp of Registered Land Surveyor(required if construction / activities within 5 ft. of lot line) [310 CMR 15.220(3•)] +/ Test Holes adequate (two in each of the primary and reserve unless trenches as permitted in 310 CMR 15.102(2) or as / approved for an upgrade under LUA at 310 CMR 15.405(1)(k)] Test,hole adequate to demonstrate,four feet of suitable material? [310 CMR 15.103 4 , Test Holes adequate to confirm adequate groundwater separation? [310 CMR 15.103(3 Benchmark within 50-75'-of system [310 CMR 15.220(4)O] j Materials specifications noted? [various sections of 310 CMR / 15.000 System components not>..36" deep (unless Local Upgrade / Approval or LUA requested) [310 CMR 15.405 1 i ZZP�` 1/Address Sheet 2 of 7 N/A OK NO SE�PTICT :a iK ,, ,a tt Size OK? [310 CMR 15.223(1) Inlet tee located ten inches below flow line [310 CMR 15.227(6)] Outlet tee 14" or 14" + 5" per foot for increase ft depth[310'CMR / 15.227(6)] Outlet tee with gas baffle or approved filter [310 CMR 15.227(4)] Note regarding installation on stable compacted base [310 CMR / 15.228(1)] ✓ ' Separation between inlet and outlet tees (no less than liquid depth) [310 CMR 15.227(2)] ' Inlet/Outlet elevations at least 12" above high groundwater (except as described 310 CMR 15.227(5)) or permitted for / upgrades under LUA [310 CMR 15.405(1)(k)] ✓ . Minimum cover 9" (Tanks buried more than 9" must have risers on all openings and on the d-box) [310 CMR 15.2228(l) and 310 / CMR 15.232(3)(f)] Three access covers (inlet and outlet must be 20" or greater) - / ' middle access at least 8" (by 7/07) [310 CMR 15.228(2)] V. Access to within 6 " of grade -'one port for systems<1000gpd, / two fors stems>1000 gpd [310 CMR 15.228(2)] V All at-grade covers secured to unauthorized access? [310 CMR / 15.228(2)] V > 10 ft from building foundation [310 CMR 15.211(1)] Buoyancy calculation Required/Done [310 CMR 15.221(8)] H-20 Where appropriate? [310 CMR 15.226(3)] Setbacks from resources [310 CMR 15.2111 Muih�..�ompartment���a�n�ks M. ��� � � ��,� . �����:� ��.�,• ri.:�,x.� �. , Required when.other than single-family dwelling or flow>1000 / d [310 CMR 15.223(1)(b)] First compartment 200%daily flow; Second compartment 100% daily flow [310 CMR 15.224(2) and 3 ] "U" pipe through or over baffle, outlet of each compartment with gas baffle or approved filter 310 CMR 15.224(4)] Address / Sheet 3 of 7 4 N/A OK NO Located at least ten feet from any water line? [310„CMR ` 15.222(2)] ✓ Disposal piping at least 18" below water line(when water and sewer cross, see 310 CMR 15.211(l)[1]) Cleanouts required/provided ? 310 CMR 15.222(8)] Thrust blocks specified in force mains? 310 CMR 15.221(6)(c)] ✓ Slope of sewer line not less than 0.01 (1/8"/ft) 0.02 preferable / [310 CMR 15.222(6)] V Proper pitch on all runs? (.005 within gravity-distributed trenches and beds) [310 CMR 15.251(9) and 310 CMR 15.252(2)(c)] Siphonproblem/(leachfield below pump chamber Endca s or vent manifoldspecified? Size and orientation of discharge holes specified? (not smaller , than 3/8" not larger than 5/8") [310 CMR 15.251(8) and 310 CMR 15.252(2)(h)] Materials specified (310 CMR 15.251(5) specifies various pipe / types allowed �DIpSTRIBU'TIOlB® is IN tT 0 ` Stable compacted base [310 CMR 15.221(2) and 310.CMR 15.232 2 (a Splash plate or baffle tee required on inlet/provided? (when pressure sewer to d-box or steep pitch of gravity sewer) [310 CMR 15.323(3)(a) Riser if deeper than 9" [310 CMR 15.232(3)(D] Inside minimum dimension 12" [310 CMR 15:232(2)(b)] Minimum sum 6" [310'CMR15.232 3 (e Watertight cover if<2000gpd); waterproof manhole if>2000gpd / [310 CMR 15.232(3)(d)] NA Capacity(emergency storage above working--design flow)?•[310 CMR 231 2 ] Proper setbacks 310 CMR 15.211 same as septic tanks Watertight 20-in minium access manhole at least 20" MUST BE TO GRADE [310 CMR 15.231(5 Service components accessible (not too deep with piping, disconnects accessible Alarm floats - alarm on circuit separate from pumps specified? Exceeds two units must have two pumps operating in lead-lag mode. 310 CMR 15.231(6) and (8)] Stable Co m acted Base 310 CMR 15.221(2)] Buoyancy calculations needed? Provided? [310 CMR 15.221(8)] Address �`Z r e N ( W c4 Sheet 4 of 7 Y , r r N/A OK NO. SO-IIABSO ' sTrO7�5YS. 15 FS ` GL w 3 uk:!S.ft Calculations correct? - 4 feet of naturally occurring material demonstrated? [310 CMR 15.240(1)] Required separation to groundwater? [310 CMR 15.212)] Aggregatespecified as double washed [310 CMR 15.247(2)] System Venting required/provided? (system under driveway or >3 6" dee') [310 CMR 15.241] Inspection ports specified and within 3'final grade? [310 CMR 15.240(13)]. Breakout requirements met? (No violation of breakout elevation ' within 15 ft of SAS unless barrier) [3.10 CMR 15.211(1)[4] and / ! Guidance Document , ] i Chambers and Gal. in trench configuration supplied with inlet every 20 ft. [310 CMR 15.253(6)] Each structure with one inspection manhole(if>2000 gpd must be to grade) [310 CMR 15.253(2) Aggregate 1'minimum- 4'maximum. [310 CMR 15.253 1 )] 2' sidewall credit maximum 310 CMR 15.253(1)(a)] In bed configuration, inlet every 40 s . ft. 310 CMR 15.253(6)] ' Width 2'minimum 3'maximum 310 CMR 15.251(1)(b)] ✓ ' 100 feet 'maximum length [310 CMR 15.251(1)(a)] Minimum separation 2x effective depth or width whichever greater(3x if reserve between trenches) [310 CMR 251(1)(d)] ✓ Situated along contours [310 CMR'15.251(2) i/ ` Breakout OK? [310 CMR 15.211(1)[4] and Guidance Document] y_,.�, a" 2:•s?Y.�'+kti«^sl, °^ •• .'_( "r �"� aBED SA amnm�iz ofbecito fie5000 minimum 2 distribution lines [310 CMR 15.252(2)(a)] ✓ Maximum separation between lines 6' [310 CM R15.252(2)(d)] Maximum separation between lines and outside of bed 4' [310 CMR 15.252(2)(e) Aggregate depth below discharge pipes 6"minimum, 12" maximum. [310 CMR 15.252(2)(g)] ✓ ' Separation between beds 10'minimum: [310 CMR 15.252(2)( ] Bottom area used in calculations only 310 CMR 15.252(2)(i)]. Cf 22 �2e l W 01 A/ .• . . • Sfieet 5 ' Address .of 7. r - _ N/A OK NO Pressure Dosed System'? Provided pump and piping / calculations as required 3110,CMR 15.220(4)(r)] Pressure dosing required on all systems>2000gpd c.r alternative' systems under remedial approval [310 CMR 15.254(2) and I/A Remedial Use Approvals]- If used in gravelless system-make sure jet is directed as not to scour soil interface Guidance Document Inspections once per year(systems<2000 gpd) or quarterly. : (>2000 dgood to note on plai 310 CMR 15.254(2)(d)] Construction in fill -Did'the plan specify that the fall shall.meet .the specification of 310 CMR 15.255 3 ? Impervious barrier and/or retaining wall ? [Guidance Document] Impervious barrier installation must be supervised by designer [310 CNM 15.255(2)(b)] ' Retaining wall must be designed by Registered Professional / Engineer [310 CMR 15.255(2)(a)] r V Side slope not exceed 3:1 ? [310 CMR 15.255(2)] Breakout requirements met? [310 CMR 15.252(2) and Guidance Document] ✓ ` ` At least 5 ft. from impervious barrier to edge of SAS (10 ft. x recommended) [310'CMR 15.255 2 e ' Gr '""ll'eX s ysteis jTppro�al ette - ,� X 11 j Check DEP Approval letters for credits and design conditions - { If used-with pressure dosing do not allow pressure discharge ✓ - to scour soil interface Alte�na€av,�e��s=' .e. RA� P�.oya�.-� rsj ->�"�'• a,�,�.� •a'•.tL��wW..2. Cn•T+flw � cnF Was DEP Approval Letter provided and/or have you reviewed the letter for'conditions? ✓ , Is the technology being properly applied and does it meet all DEP Approval Conditions? ' Is there a note on the plan regarding the requirement for ' perpetual maintenance.agreement? .• f Any alarms involved on separate circuits ,/ Did the applicant submit an operation and maintenance manual? ", , Has applicant submitted a cou of a maintenance ,� '""� iaria ce F ` � -�1.� iP Are the variances listed ont the plan? [310 CMR 15.220 (4)O] ; RLS Stamp necessary on plan if a.component is within five , feet of property line 310 CMR 15.412(4)] e/ New construction or increased flow proposed [Refer to 310 CMR 15.414 Address !i� ���'` �� y T ^ Sheet 6 of 7 N/A OK NO f �„' ", '�` ` ���.�z N � k Nitrogen�Sen�itive��4seas A �$ x ;� .�� ��Is the system in a Designated Nitrogen Sensitive Area(Zone II for a public supply well)? [310 CMR 15.214, 310 CMR 15.215 and 310 CMR 15.216 - also refer to Policy regarding upgrades of such existing systems] Is the system proposed on the same lot as served by private well ? / [310CMR15.2142 Are the nitrogen loads proposed in compliance? [310 CMR 15.216(1)] scelluneousr Pumping to septic tank ? 310 CMR 15.229] Shared System [310 CMR 15.2 90 I Address v� yu Sheet 7 of 7 Town of Barnstable y� OfIHE ati� Regulatory Services P� Thomas F. Geiler, Director • BARNSTABLE. MASS. Public Health Division 1639• ''forna�A Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: Si Sewage Permit# b 330 Assessor's Map/Parcel-aCos . Cj Installer & Designer Certification Form Designer: n T d_\ Installer: OCYN � �(`�t n 56� Address: L4 7ri0. Address: f Q I-ugg , C � On G o � E ���5 MS 2 was issued a permit to install a ate) (installer) septic system at e.9a Kw based on a design drawl by (a dress) =--C-©� dated (designer) 1' 1 certif y that the septic system referenced above was installed'substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and .the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Stripout (if required) was inspected and the soils were found satisfactory. �SNOF s DAVID (Installer's Signature) o D. COUGHA140 R GiSTE9' (Designer's Signature) (Affix De r Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. gAoffice forms\designercertification form.doc -- --Town of Barnstable%' w � Departm ent of Regulatory. :Services v _ Public Health�Di = t�t� � : vision ; - _ - M"as' 'Date'200 Main Street;Hyannis MA 02601 1 ..Date Scheduled Time 1 _ Fee Pd. Soil Suitabiii - Assess. ' nt • - . .for Sewage ,�'g zE osal Performed-By:z),10 1� . ;J COIJ�y�,o fi�V Witnessed By: )Pnal A 5 - LOCATION & GEN_ ERAL,'IN O TIOl� F ation Address ��Z i ,.-, ner's Name �a✓t� °lr�r' VA _ 22- Kee I w'4,r-0 2-col Address • _ Assessor's Map/Parcel 2(fl �S t ky-m/YIItS - 1 Engineer's Name -)jVt o Ceelf 4l ft o w r 1 -• NEW CONSTRUCTION ! - n REPAIR_� 11 - Telephone# -�OC '36.4 ©� t Land Usc {BSI Slopes(40) Surface Stones_ �e ft t Distances from: Open Water Bodyto 0 { OO t Possible Wet Area -ft Drinking Water Well Drainage Way O t ft Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands In imi _. Prox ty to holes) 100.060 Ft I I I GROUNDWATER ADJUSTMENT rnI I , EXISTING GROUNDWATER LEVEL ' BASED ON TOWN OF BARNSTABLE mmIm I GIS DEPARTMENT RECORDS. ml Im , 1 ml I� I INDICATED GW 16.00. R IR INDEX WELL M1W-29 ZONE C TF-1I 1 RREADING EADING DATE AA UGUST. 2006 8.®I ADJUSTMENT 4.0 ADJUSTED GW 20.0 100.060 Ft Parent material(geologic) to �Llot I 0 fwQS �p Depth to Bedrock YloRe— Depth to Groundwater. Standing Water in Hole: fA Weeping from Pit Pace. Estimated Seasonal High Groundwater See ti V DETE ATION FOR SEASONAL HIGH WATER TABLE Method Used: �C'P a ye Depth Observed standing in obs.hole: Depth to weeping from side of obs.hole: in. Depth to sell mottles: ht, in, Index Well It Reading Date: Index Well level ©roundwnterAdjustment _ ft. Adj.factor- Adj.drountlwater Level Observation PERCOLATION TEST Dategll� TI„e. It A_M Hole$ ` h /I / � Time at 9" Depth of Pere 7 t0 1 h r e Time at G" Start Pre-soak Time @ 0 7 y / 7 Time(9"•6") 6 _ End Pre-soak t / Rate Min./inch Z.Ntp; „ 0►'Site Suitability Assessment: Site Passed V Site Failed: Additional Testing Needed(Y/N) Original:-Public;Health Division Observation Hole Data To Be Completed on Back----------- w ***If percolation test is to be conducted within 100' of wetland,you must first notifythe 1 t Barnstable Conservation Division at least one (1) week prior to beginning. • 't�. Q:\SEPTICIPERCFORM.DOC _ I_ DATE OF TEST: SEPTEMBER 14. 2009 SOIL _T E STi 'L.O G, APPROVED SOIL EVALUATOR: DAVID D. COUGHANOWR. #461. WITNESSED BY: DONALD DESMARAIS.-HEALTH DEPT. PERC NUMBER: 12704 1 �1' NO GROUNDWATER, ENCOUNTERED TEST :P I T PARENT MATERIAL: PROGLACIAL OUTWASH ) PERC ,AT 76 in - 2. MIN/INCH IN C SOILS r`- ELEVATION DEPTH '-SOIL--- -USDA SOIL _ SOIL .COLOR SOIL OTHER ,. (INCHES) HORIZON TEXTURE (MUNSELL) -MOTTLING - 36.85 0-20 ' Ap LOAM -10 YR 2/2 '` -NONE • FRIABLE 35.10 20-45 B M LOAMY SAND -10 YR 5/6• NONE FRIABLE 45-138+ C -`" 'MEDIUM SAND-- _ _- 10 YR 5/4 NONE LOOSE 27.35 TEST PIT -2 - INCOUNTERED i JT-,,PAARENOTUMDATERIAL WATER EPROGLAC AL- OUTWASFI - - - - 1 2, MIN/INCH.,IN C SOILS - L f ELEVATION DEPTH .- ,_SOIL USDA SOIL SOIL COLOR SOIL OTHER _,_ (INCHES) HORIZON TEXTURE" (MUNSELLI... MOTTLING 38.80 ' 0-18 !1p ' LOAM - . 10.YR.2/1 NONE FRIABLE 1 `18-42-^ B------- LOAMY. SAND 10 YR 5/6 NONE FRIABLE ' 35.30 -•• 1 �42-138- C._ ,MEDIUM SAND 10 YR 5/4 NONE -LOOSE ` 27.301 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture " Soil Color Soil Surface(in.) Other _ (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Co iatency,9• Gravel t• f DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Sall Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Co si ten I e r e + . r Flood Insurance Rate Map: , Above 500 year flood boundary No_ Yes Within 500 year boundary- � No ✓Yes Within 100 year flood boundary No Yes ' Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? �S If not,what is•the depth of naturally occurring pervious material? Certification I certifyNo,) �aqs that on (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with . the required training,expertise and ,experience described in 310 CMR 15.017. SN OFMgs Signature C u z�rpC Date S�Pt I4r 2�007 �y DAVID COUGHANOWR Q:45BPTiC,PERCFORM.DOC �O /CENSER Q /� CVAL0* 1J r CONTOURS EXISTING - - - - - - 50 MINIMAL GRADING PROPOSED BENCH MARK Locus w PAINT SPOT ON CDR o❑ OF LANDSCAPE TIE o=w ELEVATION = 38.95 !?(/ppER R pAO m BARNSTABLE GIS DATUM Q HUJ __ O W G m rn 38 100.060 Ft.���� m J c3 O I 37 " LOT 33 Z HYANNIS. MA LOCUS MAP U� I w a< J O I � ,1 REA = 10060 s F +- O m e m NOT TO SCALE olqu=Z ,:?r?r a:Yrr: ZIA I 0 i:arr+Y}Y:a:r:: � �F r;uxarYr m 1 :uY:rx: w cne y O 1 W J d .� ;i xr:na:Y:; m (n W 3 I 0 moo° w N° m �+ 3 LEGEND Z W m � w °o m 1 I ;� rn 1 r� �n<\ Ins z w � � ~; m Z 1 m-A C:. 1 W T LLI Z L. N -' o WU UX > o m �_ �- X I 1500 GALLON o _J(L ''x a Ir z _ a O �1 m 1 s SEPTIC TANK c�z a�'o ``< O ❑ 1m mF W < W W WATER LINE B EEN 10 ft 0 Dui ❑`-' m v ❑ 71 � - SCR o EXISTING LEACH O W T O Z Q m w WA GA E I Z '-� O z PORCH m PI TXCESSPOOL Z � W ZOO m arnn:r.• Ul ••;:;;:iiiiyY): �o w m :;a>a a>r: I I TEST PIT ® D-BOX O Z CD `'W W o J X m �, j - 2a � HYDRANT Q DRAIN eW W Z Q m m '� I I 20 F£ { DECIDUOUS CONIFEROUS (n w L m Ln "' N l TP-1 TREE TREE OW ZI w w m u- GAS AS LINL\ _ I o-00 LF- U EU ❑ GATED \ Is RAGE ® r C16U12-M 12-P U W z / GA 24 f t X 1283 f t X 2 T t -NUMBER REFERS TO DIAMETER IN W x ow z w \ SLAB FNDN O rP-2 LEACHING GALLERY O OAK MMAPLE PPINE C--CEDAR INCHES. LETTER DENOTES J Ul H U O Cn I t cne UZ "i-< I EWAY 0 fe �0 f -WITH CUT CORNER Z z z W_ CD cn m 1 PA VEp DR _ 1 SEE DETAIL ON REVERSE jO 3 ZZ m cu Z p '_ � Wuj cn ox Ln GARBAGE GRINDER ( . 1 W w r m N IS NOT ALLOWED 1 —� 100,060 Ft J a o m WITH THIS DESIGN. ew w L W z J Q z0 Z ' ®� TE SEWAGE DISPOSAL SYSTEM PLAN H J \LL m J PLAN �� �� -TO SERVE EXISTING DWELLING h ao o CDm z < ~ SCALE. 1 !n = 20 f L EST. DAVID AND KATHLEEN BAKER O Z � O (� U SH OF MAS SN OF lygs OWNERS OF RECORD O ° LL C>11. m ~ 20 0 20 40 �` sqc �`� sic 1995 �' i m ° � - �� �o� DAVID y�N �02 DAVID y�� �° r 2 2 KEEL W A Y n I Ld 0 10 20 o D. �, o D. �� HYANNIS. MA v:93 CD L n U7 COUGHANOWR �' ": COUGHANOWR N ®N Yrn PROPERTY ADDRESS NO. 1093 ASSESSORS MAP 268 PARCEL 5 li m 9 o s t, 0 43 TRIANGLE CIRCLE O lL �aISTE p/ CENSE (�� SANDWICH MA 02563 PLAN BOOK 232 PAGE 125 p J }� z 4 A AR VAL P C 506 364-OE394 DATE: OCTOBER 6. 2009 ui w ° N uoe -E T E-3 2 2 3 PAGE 1 OF 2 VERSION: �-- Octobar �, �� THIS PLAN IS BASED ON AN INSTRUMENT SURVEY AND IS INTENDED SOLELY FOR INSTALLATION OF THE PROPOSED SEPTIC SYSTEM DEPICTED HEREON. FOR ANY OTHER CHANGES TO PROPERTY INCLUDING PLACEMENT OF ADDITIONS. SHEDS. FENCES OR SWIMMING POOLS. OWNER SHOULD CONSULT WITH A MASSACHUSETTS REGISTERED LAND SURVEYOR. S 0 I L TEST . LOG- DATE•OF TEST: SEPTEM D. C 14. 2009 APPROVED SOIL EVALUATOR: .'DON ID. D. ESMAR A S. HE LTH#461 ' DESIGN CALCULATIONS r. WITNESSED BY: DONALD DESMARAIS. HEALTH DEPT. PERC NUMBER: DESIGN FLOW: 3 BEDROOMS X 110 GPD = 330 GPD TEST PIT 1 NO GROUNDWATER ENCOUNTERED SEPTIC TANK: 330 GPD X 2 DAYS = 660 GALLONS PARENT MATERIAL: PROGLACIAL OUTWASH PERC AT 76 in - 2 MIN/INCH IN C SOILS INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED) ELEVATION DISTRIBUTION BOX: USE 3 OUTLET O-BOX. DEPTH SOIL USDA SOIL SOIL COLOR SOIL OTHER SOIL ABSORBTION SYSTEM: A 24 Ft x 12.5 f t x 2 f L LEACHING GALLERY CAN LEACH (INCHES) HORIZON TEXTURE- (MUNSELLI MOTTLING _ . 38.85 . Abot = ( 24 x 12.83 ) -1/2 ( 5 x 2 ) = 302.92 sF ' 0-20 Ap LOAM 10 YR 2/2 NONE FRIABLE Asclw = ( 24 + 19 + 12.B3 +•10.B3 + 5.39) x. 2 .= 144.10 ,sF Atot = 447.02 sF 35.10 20-45 B LOAMY- SAND ' 10 YR 5/6 NONE- FRIABLE Vt 0.74 x 447.02 =' 330.80 GPD 45-138 C MEDIUM SAND 10 YR 5/4 NONE LOOSE - 2; .35 � USE-THE LEACHING.GALLERY Vt = 330.80 GPD > 330 GPD REQUIRED NO GROUNDWATER ENCOUNTERED TEST PIT 2 p PARENT MATERIAL: PROGLACIAL OUTWASH , 2 MIN/INCH IN C SOILS, ELEVATION DEPTH SOIL USDA SOIL •SOIL COLOR SOIL OTHER LEACHING GALLERY (INCHES) HORIZON TEXTURE (MUNSELL) MOTTLING USE SHOREY PRECAST 500 GALLON NOT TO 1500 GALLON SEPTIC TANK 38.80 - LEACHING DRYWELL (H-10 LOADING) SCALE DIMENSIONS AND-DETAIL NOT TO 0-16 Ap LOAM 10 YR 2/1 NONE FRIABLE USE SHOREY'ST-1500-H-10 SCALE 35.30 18-42 B LOAMY SAND 10 YR 5/6 NONE FRIABLE ' - 'CONSTRUCTION ' DETAIL 42-138 C MEDIUM SAND 10 YR 5/4 NONE LOOSE DRYWELL UNIT STONE 27.30 - 19.0 Ft 5 f t 1 TAPER N GROUNDWATER ADJUSTMENT DISTRIBUTION BOX 5 �t EXISTING R DIMENSIONSm ��` �� 4- O U 8 1n GROUNDWATER U N D W A T E R LEVELAND DETAIL USE Sh�1REY DB-3 H-10 N I ( m - - BASED ON TOWN OF .BARNSTABLE r GIS DEPARTMENT RECORDS. INDICATED GW "16.00 - 121n 3.5 f t 8.5 Ft 8.5 -Ft .5 l't INDEX WELL M1W-29 NOT TO _ ZONE C SCALE 1 "( MIN 2 4.0 Ft 10 f t- READING DATE AUGUST. 2008 -► _ 61� READING 8.7 O FROM TANK S TO , ADJUSTMENT 4.0- c SAS ADJUSTED GW 20.0 0 " 500 GALLON DRYWELL INLET CENTER OUTLET (Q U715H1Ctr94YG:t3Ci 'HY7.lR� ® DIMENSIONS AND DETAIL END COVER END 6 in STONE BASE - ,\ • L.4{..4..4.1,4 {G{ Y.{..1 4.4."{.. 4 LI.F.'41.'!{ .1,....{^�'.USE H-10 LMT CROSS SECTION VIEW INSTALL ONE INSPECTION 3 IN DROP 155 lr, RISER TO WITHIN THREE FROM x, -FLOW LINE ,� INCHES OF FINAL GRADE BUILDING 10 in - 14 TO AND INDICATE LOCATION in D-BOX ON.AS-BUILT PLAN NOTES _ L48 in IQUID GAS LEVEL BAFFLE _ 00 33 1) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT BEFORE STARTING WORK. o p�O - p00 In y2) SEPARATION OF TEES IN SEPTIC .TANK SHALL BE NO LESS THAN LIOUID DEPTH._ • 000aoaoaooao 00�00 3) ALL- COMPONENTS INSTALLED SHALL MEET THE MINIMUM REOUIREMENTS oa00000 00 1�, CROSS SECTION VIEW OF MASSACHUSETTS TITLE 5 SEPTIC CODE •(310 CMR 15). - �� 4) INSTALLER •TO VERIFY LOCATIONS OF. ALL UNDERGROUND UTILITIES BEFORE EXCAVATING FOR SYSTEM. .' . r RE' : CROSS SECTION VIEW - 5) EXISTING CESSPOOLS TO BE PUMPED. COLLAPSEDAND REMOVED;REMOV f LL y. ASSOCIATED CONTAMINATED SOILS IN THE VICINID RLR THE PROPOSED L'E'ACHING SEWAGE DISPOSAL SYSTEM PLAN' GALLERY AND REPLACE WITH CLEAN MEDIUM .SAND PER TITLE 5. `+` , 2 in PEASTONE 2 in PEASTONE 6) ALL STONE• TO BE DOUBLE WASHED AND FREE: OF IRON' ��F1 i' AND"DUST -IN'.-PLACE. -TO SERVE EXISTING DWELLING Z) EAN TECH ENVIRONMENTAL RECOMMENDS THE INSTALLAT;IONROF Lr.QW FLOW FIXTURES 2a,,, DAVID AND KATHLEEN BAKER 28 3ia ro E�EcrrvE 26 AND APPLIANCES. AND BIANNUAL PUMPING OF jTHE4.SEPTIC TANK �r^-f` - 1n _v2�,pzAva p�Tf� r_v2,,pzn 1n � �' 22 KEEL WAY HYANNIS, MA 8l SYSTEM IS NOT DESIGNED 'TO WITHSTAND VEHICULAR LOADING. DO NOTrI:x�# • ,�f� - PARK OR- DRIVE• VEHICLES OVER SEPTIC SYSTEM. - ` >t�...r-. �, ., •�• - 46 rn 58 1n 46 rn ECO-TECH ENVIRONMENTAL 9) SEPTIC TANKS ,SHALL' BE INSTALLED :LEVEL AND TRUE ,T• -0GRADE• ONi�A LEVEL - - �, 150 in STABLE BASE THAT HAS BEEN-MECHANICALLY-•COMPACTED AND ON TO-WHICHw ' INSTALLER MAY SUBSTITUTE AN APPROVED GEOTEXTIL'E 43-TRIANGLE CIRCLE ' 'SANDWICH'MA 02563 SIX"-INCHES' OF CRUSHED STONE HAS `BEEN PLACED �TO MINIMIZE UNEVEN SETTLING. FABRIC IN PLACE OF THE 2 in. PEASTONE LAYER SPECIFIED. ETE-32231 OCTOBER 6: 2009 1 1212